Patient Safety in Anticoagulation: Implementing Safety-II and FRAM in the Medical Curriculum

Area of Science:

• Medical Education
• Patient Safety
• Healthcare Systems

Background:

• Traditional error-focused approaches to medication safety limit learning opportunities.
• Safety-II emphasizes healthcare professionals' adaptability and resilience in complex environments, complementing Safety-I's focus on problem identification.

Purpose of the Study:

• To describe an innovative educational intervention integrating Safety-II, Functional Resonance Analysis Method (FRAM), and anticoagulation management.
• To enhance master's-level medical students' understanding of anticoagulation processes and system strengths in perioperative care.

Main Methods:

• Integration of Safety-II principles and FRAM into an existing medication safety course.
• Utilized clinical case studies, FRAM model creation, and reflective clerkship experiences.
• Incorporated active learning strategies like 'flipped classroom' and 'just-in-time teaching'.

Main Results:

• Successful integration into the medical curriculum, with iterative refinement based on feedback and learning analytics.
• Enhanced students' ability to recognize system strengths and adapt to complex situations.
• Expanded implementation to cross-disciplinary education for specialist healthcare professionals.

Conclusions:

• The Safety-II educational intervention effectively enhances medication safety education.
• Fosters a culture of safer, more resilient care by prioritizing adaptability and continuous learning across healthcare disciplines.